DALLAS ONCOLOGY CONSULTANTS PA


Address: 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409
Phone: 6825188444

DALLAS ONCOLOGY CONSULTANTS PA (NPI# 1700040490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700040490
Entity Type Organization
Organization Name DALLAS ONCOLOGY CONSULTANTS PA
Practice Address 2800 E Broad St
Suite 212
Mansfield
TX 76063-6409
Mailing Address 310 E Highway 67
Duncanville
TX 75137-4159
Practice Telephone 6825188444
Practice Fax Number 6825188846
Mailing Telephone 9722832389
Mailing Fax Number 9722832473
Enumeration Date 2008-07-11
Last Update Date 2010-11-11
Authorized Official Name SANTIAGO CALDERON (BILLING BUSINESS MANAGER)
Authorized Official Telephone 9722832389
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHIELD 00U90U 01
TX 190974901 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053571091 Dallas Oncology Consultants Pa Internal Medicine 2010 Ben Merritt Dr, Suite A, Decatur, TX 76234-3854 2008-06-12

Office Location

Street Address 2800 E BROAD ST
SUITE 212
City MANSFIELD
State TX
Zip Code 76063-6409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942287388 John Tiu Internal Medicine 2800 E Broad St, Suite 514, Mansfield, TX 76063-6417 2005-12-28
1740736099 Kyla Crispe Physician Assistant 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 2016-08-28
1902264732 Paige Herlihy Physician Assistant 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 2016-02-08
1215392840 Center for Scoliosis and Advanced Spine Surgery Orthopaedic Surgery 2800 E Broad St, 512, Mansfield, TX 76063-6409 2015-12-26
1669857595 Uyen Ngoc Bao Phan Physician Assistant 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 2015-07-21
1982945127 Hospitalist Partners of Excellence In Mansfield (h.o.p.e), P.a. Clinic/Center 2800 E Broad St, Suite 308, Mansfield, TX 76063-6412 2013-03-13
1902160708 Helen Kaporis Dermatology 2800 E Broad St, Ste 124, Mansfield, TX 76063-6409 2012-06-27
1164793246 Amy Renee Lewis Nurse Practitioner 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 2012-01-20
1144541202 Magdala Poon Psychiatry & Neurology 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 2010-06-11
1598913253 Mansfield Dermatology, Pllc Dermatology 2800 E Broad St, Suite 408, Mansfield, TX 76063-6414 2008-09-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538147525 Donald Lee Dewald Internal Medicine 1125 Aspira Ct, Mansfield, OH 44906-4125 2006-01-09
1205832375 Robert Edwin Exten Jr. Internal Medicine 475 Lexington Ave, Mansfield, OH 44907-1501 2005-06-23
1952694739 Paula A. Mcbrine, M.d., P.C. Internal Medicine 205 Chauncy St, Mansfield, MA 02048-1202 2011-05-26
1689644114 Shahzad M Khan Internal Medicine 1125 Aspira Ct, Mansfield, OH 44906-4125 2006-01-26
1972573848 Saurabh Das Internal Medicine 1125 Aspira Ct, Mansfield, OH 44906-4125 2006-01-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205399961 Christus Health Ark-la-tex Internal Medicine 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 2019-04-10
1861958704 Thi of Texas At Samaritan Hospice LLC Internal Medicine 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 2019-02-15
1417485822 Ahmad Ghorab Internal Medicine 1515 Holcombe Blvd #1445, Houston, TX 77030 2017-05-30
1063952943 Irfan Jawed Md Pllc Internal Medicine 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 2017-02-27
1366981615 Houston Cancer Treatment Centers Pa. Internal Medicine 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 2017-02-20
1508222720 Maurizio Bendandi Internal Medicine 6722 Mimosa Ln, Dallas, TX 75230-5214 2016-01-04
1245642073 Juan Francisco Garza Internal Medicine 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 2014-05-28
1124463211 Oluchi Oke Internal Medicine 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 2013-05-03
1710229323 Adaeze Nwosu- Iheme Internal Medicine 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 2013-03-21
1144570599 Gummadi & Desai LLC Internal Medicine 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 2012-09-13
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Competitor

Search similar providers

City MANSFIELD
Zip Code 76063

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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